Provider Demographics
NPI:1851571558
Name:BITHELL FAMILY CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:BITHELL FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:BITHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-814-5940
Mailing Address - Street 1:4344 WOODLANDS BLVD
Mailing Address - Street 2:#120
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2801
Mailing Address - Country:US
Mailing Address - Phone:303-814-5940
Mailing Address - Fax:
Practice Address - Street 1:4344 WOODLANDS BLVD
Practice Address - Street 2:#120
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2801
Practice Address - Country:US
Practice Address - Phone:303-814-5940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC50073Medicare PIN